Jean M Fredrickson, LCSW

NPI #1083973366 in Newport, Oregon

Provider Information

NPI Number
1083973366
Entity Type
Individual
Name
Jean M Fredrickson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 8, 2012
Last Updated
May 8, 2012

Practice Location

Address
930 SW ABBEY ST
State
Oregon
ZIP Code
97365-4820
Phone
(541) 574-1811

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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